How Much Is Healthcare In Retirement? - Arrest Your Debt (2024)

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An often overlooked expense when saving for retirement is the cost of healthcare. In deciding when to retire, many people average out their yearly salaries and decide how much they will need to sustain their current lifestyle throughout retirement. Unfortunately, health care is usually much more expensive after you leave an employer-sponsored plan.


According to a recent article by CNBC, a married couple can expect to spend around $285,000 in retirement on healthcare-related costs.¹ This is a significant amount considering the average retirement savings for Americans age 55-64 is only $374,000.²

At What Age Do You Plan To Retire?

How Much Is Healthcare In Retirement? - Arrest Your Debt (1)
Fidelity Investments came up with this average after deciding upon a retirement age of 65. Many of us in the personal finance community are aiming to retire at an age much younger than that. With that perspective, most of us will spend even more on healthcare in the future.

The suggested retirement age of 65 assumes you will be able to move right into a Medicare plan. However, you may be surprised to learn that Medicare doesn’t cover much of what your employer-sponsored health plan may have covered.

Medicare Does Not Cover Everything

For instance, a basic Medicare plan does not cover³:

  • Hearing Aids
  • Routine/Preventative Foot Care
  • Most Dental Care
  • Eye Exams
  • Dentures
  • Long-Term Care

Do you see how many items most of us will need but are not covered? This is where the costs start to rack up. The silver lining to this dismal news is the average monthly premiums are relatively inexpensive for the things Medicare actually does cover. The average monthly premium in 2019 is $135.50.

Will COBRA Be Enough?

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For those of us who would like to retire before the age of 65, COBRA may be an option. However, COBRA only allows you to stay on your employers sponsored healthcare plan for a year and a half. In addition to the time constraint, you are required to pay the entire premium which can be expensive. If I were to pay the full premium on my healthcare plan, I would be paying about six (6) times the monthly amount I currently pay.

COBRA may offer better coverage for you when you leave retirement, but the monthly premiums alone may be out of reach for most people.

The Affordable Care Act

I logged onto the Healthcare Exchange and ran a retirement scenario at age 55. If I made the average American income of $56,000 a year after retirement, I would have a minimum monthly payment of $132.79 a month with a deductible of$15,800.

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The Second Scenario, A $10,000 Raise

Let’s assume you saved more than most people and in retirement, you are able to draw an extra $10,000 from your investments. A quick check of the Healthcare Exchange for insurance coverage at 55 years old and married making $66,000 a year yielded the following results:

How Much Is Healthcare In Retirement? - Arrest Your Debt (5)

You read that right. If you make $66,000 a year at age 55, you can expect to pay a minimum of $1,160.38 a month with a $15,800 deductible. With either plan, do you have an extra $15,000 laying around in the event you need medical care?

Failing To Plan Means You’re Planning To Fail

The above scenarios are not meant to take the wind out of your sails. If you plan on working until you are 65, you may have an easier time in retirement covering your health care costs than if you retire early. However, even with a retirement directly into Medicare, you may still spend $285,000 over your lifetime in healthcare related costs.

In order to live a happy and healthy retirement, we need to start saving and investing as soon as we can. One great strategy is to invest in a Health Savings Account (HSA). I wrote an article about the tax benefits of Health Savings Accounts in my related post: Health Savings Account – The Truth About HSAs.

Health Savings Accounts have the ability to grow interest-free in your working years and allow for pre-tax dollars to be invested. Who would have though Health Savings Accounts were better than ROTH IRAS!

Plan For Retirement Today – Even If You Don’t Want To

The fact that you are reading this article shows you are at least “thinking” about retirement. I encourage you to continue learning and transition from thinking to actually planning for retirement.

If you are living paycheck to paycheck now, retirement may seem impossible. In your current situation, retirement mayactually be impossible. Your paycheck to paycheck lifestyle doesn’t need to be the status quo. We all need a plan to be successful in life and your current plan may need some tweaking.

If you have yet to start a budget, please head over to my related article: It’s Time To Budget Like A Boss!In that article, I have free budget resources for you to get you on track and headed in the right direction. If you start to take control of your money at this point in your life, you will be better off tomorrow than you were today. Tell your money where to go and make it behave.

Debt Does Not Define You

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If you have mounting debt and you seem stuck, I assure you there is a way out of this mess. I hope with everything in me that you can see there is a light above you if you stop digging this hole you are in. Climbing out of debt can be difficult but it certainly is possible. It requires you to put the shovel down and reach out for help.

I wrote an article on how to take control of your money and start paying down debt. You can find it here.

Use Your Time Wisely

Time has an amazing way of taking forever while flying by at the same time. Think back to high school. For me, it feels like not too long ago I was playing sports and cheering our fight song. As I sit here today, it’s hard to believe I graduated 18 years ago. (No old comments!)

That is the thing with time, if you start something today and keep with it, you will reach your goals much faster than you actually thought possible. You will look back on today and think it was just yesterday you made the decision to get out of debt and plan for retirement. In reality, it may be years down the road and you will stand there, debt free, looking back on your hopeless past.

Give yourself credit – you are here learning. Make the most of your time and do something great!

If you haven’t already, please subscribe to my blog below. Also, please share this article across social media, I’m trying to get the word out about my mission to financially educate as many people as I can. Thank you for being here and let me know if you have any questions!
-Ryan

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How Much Is Healthcare In Retirement? - Arrest Your Debt (2024)

FAQs

What does healthcare cost in retirement? ›

A typical 65-year-old retired couple in 2023 could face an estimated $315,000 in healthcare costs. Individuals should plan for costs related to over-the-counter medications, long-term care, and dental care. Medicare may pay for some health care in retirement but does not cover all of it.

What is the largest expense in retirement? ›

1. Housing. Whether you own your home or rent, lodging costs may be one of the largest parts of your budget. Those who have paid off their home may have extra cash to spend on other budget categories, but don't forget to factor in upkeep, property taxes, insurance and utilities as ongoing expenses.

Is healthcare free after 65 in the US? ›

Medicare is a federally funded insurance program for eligible participants 65 or over. Medicare has two parts, Part A (Hospital Insurance) and Part B (Medical Insurance). Medicare does not cover 100% of all costs.

What are unexpected costs in retirement? ›

Those unexpected expenses often derail people's retirement plans, such as a healthcare emergency or long-term care expenses. Other potential unexpected costs could include: A major home repair or upgrade, such as modifying a bathroom to be wheelchair accessible. Providing financial support to children or grandchildren.

Are healthcare costs in retirement overwhelming? ›

“You could call healthcare the biggest retirement expense people fail to plan for. Many folks just assume Medicare is going to pay for everything but, in reality, it only covers about two-thirds of your costs.”

How much does Medicare cost per month for retirees? ›

If you're not eligible for premium-free Part A, you'll pay either $278 or $505 every month, depending on how long you or your spouse worked and paid Medicare taxes. You may also need to pay the Part A late enrollment penalty if you don't purchase Part A when you first become eligible for Medicare.

Is $3,000 a month good for retirement? ›

That means that even if you're not one of those lucky few who have $1 million or more socked away, you can still retire well, so long as you keep your monthly budget under $3,000 a month.

How much does the average retired person live on per month? ›

Retirement Income Varies Widely By State
StateAverage Retirement Income
California$34,737
Colorado$32,379
Connecticut$32,052
Delaware$31,283
47 more rows
Oct 30, 2023

Is $50,000 in retirement good? ›

So for a $50,000 nest egg, that would mean $2,000 of retirement income a year. Even with a decent chunk of cash from Social Security, that may not be enough to live on. But if you're willing to work part-time in retirement, you may find that you can get by quite well thanks to that added income.

What is the best medical insurance for seniors? ›

Best overall: Medicare

Medicare is the best health insurance option for seniors and retirees. Medicare is the cheapest health insurance with the best benefits for people age 65 and older or who have a qualifying disability. You can choose between two different options: Original Medicare and Medicare Advantage.

How much do most seniors pay for Medicare? ›

Costs for Part A (Hospital Insurance)

In 2024, the premium is either $278 or $505 each month, depending on how long you or your spouse worked and paid Medicare taxes. You also have to sign up for Part B to buy Part A.

Why would someone over 65 not have Medicare? ›

Medicare Part A Based on Age for People Who Must Pay a Premium. People who must pay a premium for Part A do not automatically get Medicare when they turn 65.

What is the number one retirement mistake? ›

According to professionals, the most common retirement planning mistakes are time-related, like outliving savings or not understanding how inflation can affect a portfolio over time.

How much will a couple retiring at age 65 spend out of pocket on health care during retirement? ›

According to Fidelity Investments' 2022 Retiree Healthcare Cost Estimate, the average American couple estimates the total cost of healthcare in retirement to be $41,000; however, in actuality, the average 65-year-old couple retiring this year can expect to spend an average of $315,000 on healthcare expenses throughout ...

Do living expenses decline at retirement? ›

Research shows that average retired households see their spending fall between 0.75% and 0.80% each year in retirement. However, how much your spending will decline in retirement is often linked to your level of wealth and physical health.

How much should I budget for health insurance if I retire early? ›

That's why having health coverage is so critical. But how much does health insurance cost for early retirees? According to a 2020 study, an individual plan can cost up to $5,500 each year – and closer to $14,000 for a family plan.

Can I deduct health insurance premiums if I am retired? ›

Medical and Dental Expenses

Fortunately, some of these expenses are deductible if you itemize your personal deductions. These include health insurance premiums (including Medicare premiums), long-term care insurance premiums, prescription drugs, nursing home care, and most other out-of-pocket healthcare expenses.

How much does healthcare cost in a lifetime? ›

A Lifetime of Healthcare Could Cost Almost $320,000

According to Synchrony's Lifetime of Healthcare Costs research, the average insured American with an employer sponsored health insurance plan could spend more than $320,000 in healthcare costs in their adult lifetime.

How much does a lifetime of healthcare cost? ›

Principal Findings. Per capita lifetime expenditure is $316,600, a third higher for females ($361,200) than males ($268,700). Two-fifths of this difference owes to women's longer life expectancy. Nearly one-third of lifetime expenditures is incurred during middle age, and nearly half during the senior years.

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